Avdiivka (Ukraine) (AFP) - Olena Gorbatova gave birth to her third child in war-torn eastern Ukraine to the sounds of gunfire and exploding shells in the Kiev-held flashpoint town of Avdiivka.
The 40-year-old Gorbatova calmed herself by thinking the attacks were just a celebration of the baby girl she named Myroslava -- which in Russian and Ukrainian means "glory to peace".
The wartime birth was not unusual. The town in which dozens were killed in early February has seen a mini baby boom that doctors attribute to the fact that people want to couple in times of stress and a change in women's hormonal behaviour.
"In recent years, we have managed to deliver babies from older families who are now in their 40s," gynaecologist Svitlana Khomchenko told AFP in the dilapidated and partially abandoned town of less then 20,000 people.
"They had been trying without success for many years. And now families who were considered sterile have children," said Khomchenko.
"It turns out that stress is a factor."
- Making love, not war? -
Gorbatova's 38-year-old husband Sergiy had to make it past a series of road blocks to reach the maternity ward where his wife was resting.
A part of it has been turned into a military hospital. Women about to give birth lie side by side with the wounded from the 34-month revolt in the pro-Russian region that has killed more than 10,000 people and left nearly 25,000 others injured.
Sergiy laughed off local jokes that the rising birth rate is down to the large number of Ukrainian soldiers defending the town.
He admitted that many people tried to convince him not to bring more children into the Ukraine's unsafe world.
"But we still decided to do it," he said.
The fog of war means that no real scientific study can explain why couples have more sex and women appear to be more fertile when disaster strikes.
Gynaecologist Khomchenko simply cites the statistics she has.
The year the war broke out in 2014 there were 45 births in Avdiivka compared with 110 babies born in 2016 -- more than double the figure despite people fleeing the region for more peaceful parts of the ex-Soviet state
Khomchenko recalls scenes of horror as women were hidden in basements to shield them from exploding shells that blasted out windows and mortar rounds that landed in the hospital's garden.
The city's heating system is periodically not working and the doctor says she has had to take many deliveries by candlelight.
A power generator has been recently installed and the windows replaced.
- 'Glory to peace' -
The maternity ward stayed open even during the frightening days in early February when constant clashes between rebels and government troops claimed 35 lives in Ukraine's east.
"We worked while people were dying," said Khomchenko.
"But we were forced to move some of the women in labour to neighbouring towns because there was no heat or water."
Now the fighting has eased and the hospital is preparing to bring more babies into the world.
"The situation has normalised -- if, of course, you call a war a normal situation," the gynaecologist said.
Gorbatova and her husband Sergiy say they are preparing for tough times but are still filled with hope for their baby daughter.
"It will be difficult," Sergiy said. "We will have to deny ourselves many things."
But he added with a smile: "We want her name to give people a signal -- enough war and glory to peace."